LYON TIGE HAZLETON (NPI# 1194836296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194836296 |
| Entity Type | Individual |
| Full Name | LYON TIGE HAZLETON |
| Credential | CRNA |
| Practice Address |
2951 Front St Suite 3050 Richlands VA 24641-2055 |
| Mailing Address |
2951 West Front Street Suite 3050 Richlands VA 24641 |
| Practice Telephone | 2769638504 |
| Practice Fax Number | 2769636642 |
| Mailing Telephone | 2769638504 |
| Mailing Fax Number | 2769636642 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024166905 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 194170 | 01 |
| WV | 38100005818 | 05 | |
| VA | RAILROAD MEDICARE | P00318799 | 01 |
| Street Address |
2951 FRONT ST SUITE 3050 |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093758344 | Roxanne M Decker | Nurse Anesthetist, Certified Registered | 2951 Front St, Suite 3050, Richlands, VA 24641-2055 | 2006-06-14 |
| 1790007789 | Mrugendra R Patel M D P C | Psychiatry & Neurology | 2951 Front St, Suite 2400, Richlands, VA 24641-2055 | 2010-02-18 |
| 1073745840 | Jamal I. Sahyouni, M.d., P.C. | Internal Medicine | 2951 Front St, Clinch Valley Medical Center, Ste. 1600, Richlands, VA 24641-2055 | 2009-08-12 |
| 1447409149 | Clinch Valley Surgical Associates PC | Surgery | 2951 Front St, Suite 3800, Richlands, VA 24641-2055 | 2008-09-17 |
| 1427229574 | Michael A Ratliff | Registered Nurse | 2951 Front St, Suite 3050, Richlands, VA 24641-2055 | 2008-03-17 |
| 1295914679 | Clinch Valley Nephrology,inc. | Internal Medicine | 2951 Front St, Clinch Valley Medical Plaza, Suite 1600, Richlands, VA 24641-2055 | 2007-11-01 |
| 1154541159 | The Woman's Group Richlands | Obstetrics & Gynecology | 2951 Front St, Suite 2900, Richlands, VA 24641-2055 | 2007-05-01 |
| 1558585893 | Todd E. Pillion, D.d.s., Pllc | Dentist | 2951 Front St, Suite 3500, Richlands, VA 24641-2055 | 2007-04-11 |
| 1306996863 | Virginia Oncology Care, P.C. | Specialist | 2951 Front St, Suite 1200, Richlands, VA 24641-2055 | 2007-01-10 |
| 1760592323 | Southwest Anesthesia, PC | Anesthesiology | 2951 Front St, Ste 3050, Richlands, VA 24641-2055 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093758344 | Roxanne M Decker | Nurse Anesthetist, Certified Registered | 2951 Front St, Suite 3050, Richlands, VA 24641-2055 | 2006-06-14 |
| 1386204329 | Autumn Samantha Messer | Nurse Anesthetist, Certified Registered | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2019-06-20 |
| 1669831566 | Tiffany Miller | Nurse Anesthetist, Certified Registered | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2016-02-19 |
| 1164431433 | Charles Alexander Lambert | Nurse Anesthetist, Certified Registered | 2949 West Front St, Richlands, VA 24651-9700 | 2006-08-05 |
| 1194769109 | Monica G Tague | Nurse Anesthetist, Certified Registered | 2949 West Front Street, Richlands, VA 24641 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620002 | Jada Maria Robinson | Nurse Anesthetist, Certified Registered | 2000 15th St N Ste 600, Arlington, VA 22201-2900 | 2020-08-20 |
| 1366074924 | Matthew Galvez Biazon | Nurse Anesthetist, Certified Registered | Uva Health 1215 Lee Street, Charlottesville, VA 22908-0001 | 2020-02-11 |
| 1316585664 | Gregory Mcpheter | Nurse Anesthetist, Certified Registered | 80 Alleghany Rd, Hampton, VA 23661-3405 | 2019-12-17 |
| 1043854870 | Jessica Lofgren Malhotra | Nurse Anesthetist, Certified Registered | 16060 Old Castle Rd, Midlothian, VA 23112-3593 | 2019-11-05 |
| 1700444510 | Brandi Alford | Nurse Anesthetist, Certified Registered | 1110 Arlynn Ln, Virginia Beach, VA 23451-5571 | 2019-06-05 |
| 1952829640 | Elizabeth Ann Condon | Nurse Anesthetist, Certified Registered | 4722 Pleasant Ave, Norfolk, VA 23518-1913 | 2017-09-02 |
| 1316474232 | Nicholas Lee Grant | Nurse Anesthetist, Certified Registered | 10800 Midlothian Tpke Ste 207, North Chesterfield, VA 23235-4724 | 2017-05-23 |
| 1801333984 | Kathleen Mabis | Nurse Anesthetist, Certified Registered | 1201 N George Mason Dr, Arlington, VA 22205-2539 | 2017-01-26 |
| 1275070740 | Anesthesia Care, Inc. | Nurse Anesthetist, Certified Registered | 4148 Gum Bridge Ct, Virginia Beach, VA 23457-1593 | 2017-01-23 |
| 1962863233 | Ifesinachi Anosike | Nurse Anesthetist, Certified Registered | 1500 Balch Dr S, Leesburg, VA 20175-4701 | 2016-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.